e-Jurnal Poltekkes Tanjungkarang
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Tactile Stimulation and Active-Assisted Exercise on Motor Function and Functional Ability of Upper Extremity in Post-Stroke Patients
Full text linkPost-stroke sensorimotor disorders are the leading cause of long-term disability in adults. The purpose of this research was to analyze the combined effect of tactile stimulation and active-assisted exercise on upper-extremity motor function and functional activity in post-stroke patients at Physio Dahsyat Home Care. A Quasi-Experimental Design was used with purposive sampling. Thirty participants were divided into two groups: Group A, a combination of tactile stimulation and active assisted exercise; and Group B, electrical stimulation and PNF. The average scores of FMA-UE and CAHAI-8 in Group A were 16.33 to 60.13 and 14.80 to 52.73. In Group B, the average score was 13.40 to 48.07 and 13.40 to 44.87. Paired t-tests showed p-values<0.001 for both Group A and Group B, indicating a significant effect in both groups. An independent test showed a significant. <0.001, indicating a comparison of the impact on motor function and functional activity of the upper extremity. The highest average scores for motor function and functional activity in Group A were 60.13 and 52.73. A combination of tactile stimulation and active-assisted exercise was more effective, leading to increased muscle strength through motor unit activation; the more motor units involved, the greater the increase in muscle strength
Edukasi “Isi Piringku” untuk Perilaku Hidup Sehat Anak SD Negeri 01 Karangturi Gondangrejo, Karanganyar
Full text linkUsia anak-anak Sekolah Dasar merupakan waktu yang tepat untuk memulai perilaku hidup sehat. Pada usia ini, anak-anak lebih suka bermain dan lebih aktif dalam melakukan sesuatu. Oleh karena itu diperlukan pola hidup sehat serta makanan sehat yang mendukung untuk meningkatkan kesehatan pada anak-anak. Meningkatkan kesehatan perlu adanya pemilihan makanan yang tepat dan pola hidup sehat. Pengetahuan mengenai gizi seimbang melalui Isi Piringku pada anak-anak SD Negeri 01 Karangturi, Gondangrejo, Karanganyar masih terbatas, karena banyak di antara mereka yang berasal dari keluarga kurang mampu dimana orang tua mereka rata-rata bekerja sebagai petani, buruh, wiraswasata maupun pedagang sehingga pengetahuan dasar dari keluarga belum maksimal atau kurang diperhatikan. Dari latar belakang tersebut sangat memungkinkan untuk anak-anak kurang mampu tersebut terkena penyakit diare dikarenkan lingkungan yang tidak bersih. Kegiatan pengabdian dimaksudkan agar anak-anak SD dapat meningkatkan perilaku hidup sehat. Melalui edukasi interaktif dalam program isi piringku, anak-anak yang sebagian didampingi orang tuanya yang ikut datang, dilatih dalam simulasi mencuci tangan terlebih dahulu menggunakan sabun.Penyuluhan dengan menggunakan gambar Isi Piringku, diawali dengan adanya pre-test dan diakhiri dengan post-test yang dilakukan secara lisan. Hasil post-test dari kegiatan diketahui anak-anak lebih meningkat pengetahuannya berkaitan perilaku hidup sehat
Key to Improving Postpartum Contraception Services
Full text linkPostpartum contraceptive services plays an important role in reducing the rate of unplanned pregnancies and improving maternal and child health. However, its coverage in Indonesia is still low. This study aims to evaluate the quality of postpartum contraception services through three aspects: technical, functional, and accessibility. The study design is quantitative descriptive-analytical, with respondents being reproductive-age women who have given birth and accessed contraception services in 2024. Data were collected through a questionnaire survey and analyzed using chi-square tests and logistic regression. The results indicate that the quality of services is a dominant factor in the use of modern contraceptives, particularly among millennial women (OR = 18.6). Technical aspects such as method availability and staff competence, as well as functional aspects such as attitude, clarity of information, and privacy significantly influence patient decisions. Although accessibility was not statistically significant, economic factors and distance remain practical barriers. This study recommends improving service quality, training healthcare workers, and developing community-based service models to expand access to quality contraception in Indonesia
The Role of Suku Anak Dalam (SAD) Malaria Control Efforts in Jebak Village, Jambi Province, Indonesia
Full text linkMalaria is a significant public health problem in various regions, especially in developing countries. Suku Anak Dalam (SAD) is a tribe that lives in the jungle by foraging for forest products. SAD always lives in the forest and carries out activities such as hunting and living in the wilderness or in the garden. This research aims to highlight the importance of strengthening the role of SAD in malaria control efforts through a sustainable and integrated approach in public health programs. This research method is an observational type with an ecological study method, a cross-sectional design was carried out by involving interviews and observational, data were analyzed using the chi-square statistical test, this study as a population is the community living in the Senami forest of Jebak village as many as 40 people as a sample and the total population, this study evaluated knowledge, attitudes, and practices of malaria control. The results show that SAD has a varied understanding of malaria, with most showing high concern for control efforts. The active involvement of SAD in counseling and the implementation of preventive practices, such as the use of mosquito nets and antimalarial drugs, has increased awareness and reduced the prevalence of this disease. However, challenges such as limited access to health resources and environmental changes that affect malaria vectors remain obstacles that must be overcome
Optimization of Whole Blood Specimen Handling for Complete Blood Count (CBC) Results and Blood Cell Morphology
Full text linkHematology analyzers are used in almost all clinical laboratories for CBC testing. CBC test results are crucial, as they play a significant role in establishing diagnoses and determining the appropriate therapy for patients. This study aims to analyze the effect of anticoagulant type, storage temperature, and delay time on the results of erythrocyte, leukocyte, and thrombocyte counts in whole blood samples. The study design employed was a laboratory experiment with a total of 64 samples, which were subjected to a combination of treatments involving anticoagulant type (Vacutainer and conventional), storage temperature (room temperature and refrigerator), and delay time for testing (0, 6, 12, and 24 hours). The examination was conducted using a hematology analyzer, and data analysis was performed using the Kruskal–Wallis test and the post hoc Mann–Whitney U test. The results showed that there was no significant effect of the three factors on the number of erythrocytes and leukocytes. However, the delay time significantly affected the platelet count (p=0.004), with significant differences observed between 6 hours and 24 hours, and between 12 hours and 24 hours. The delay in blood examination with K3EDTA and Na2EDTA affects the morphology of erythrocytes and leukocytes. Abnormal changes occur after 6, 12, and 24 hours of storage. The gold standard is a fresh whole blood sample collected in a K3EDTA vacutainer tube with the correct volume and analyzed within a maximum of 2 hours at room temperature
Effectiveness of Pandan Leaf Decoction on Sleep Quality among Nursing Students
Full text linkNursing students are a productive population that often experiences sleep disturbances triggered by academic pressure, social demands, and emotional stress. When left unmanaged, sleep problems can impair concentration, academic achievement, and overall mental well-being. Pandan leaves contain various bioactive constituents, including flavonoids, alkaloids, tannins, saponins, and 2-acetyl-1-pyrroline, which may provide calming and sedative effects that support better sleep. This study aimed to examine the effectiveness of pandan leaf decoction in improving sleep quality among nursing students. A pre-experimental one-group pretest–posttest design was used with 30 students from the Indonesian University of Education, selected via quota sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Prior to the intervention, 83.3% of participants exhibited poor sleep quality with a mean PSQI score of 7.23. After consuming the pandan leaf decoction for 14 days, 73.3% of participants shifted into the good sleep category, yielding a reduced mean posttest score of 4.73. A paired sample t-test indicated a significant improvement in sleep quality (p=0.000; p<0.05). These findings show that pandan leaf decoction can help improve sleep quality among nursing students. As a safe and natural herbal option, it may be recommended as a complementary strategy to support holistic nursing care for managing sleep disturbances
REPRODIS: An Innovative Cloud-Based Interactive Platform to Improve Reproductive Health Knowledge of Adolescents with Intellectual Disabilities
Full text linkAdolescents with intellectual disabilities are a vulnerable group who often face barriers in accessing comprehensive reproductive health education. Limited communication skills, difficulty understanding abstract concepts, and social stigma hinder their ability to gain adequate knowledge, increasing the risk of sexual exploitation, early pregnancy, and sexually transmitted infections. Digital innovations have shown promise, yet cloud-based platforms tailored to this population remain limited. This study evaluated the effectiveness of the Reproductive Health Interactive System (REPRODIS), a cloud-based, interactive web platform, in improving adolescents with intellectual disabilities' reproductive health knowledge. A quasi-experimental one-group pre-test–post-test design was conducted with 30 adolescents aged 13–18 years with mild to moderate intellectual disabilities in a special needs school in Central Java, Indonesia. Participants completed a validated reproductive health knowledge questionnaire before and after four REPRODIS sessions delivered twice weekly over two weeks. The platform included simplified text, audio-visual animation, voice guidance, interactive quizzes, and parental monitoring features. Data were analyzed using a paired t-test with a significance level of 0.05. The mean knowledge score increased significantly from 46.3±8.2 (pre-test) to 73.5±7.9 (post-test) (p=0.001). More than 83% of participants improved by ≥20 points. Observations indicated higher engagement during REPRODIS sessions compared to conventional lectures, while parents reported greater confidence in discussing reproductive health at home. REPRODIS significantly improved reproductive health knowledge among adolescents with intellectual disabilities. This innovation demonstrates the potential of cloud-based interactive platforms as inclusive educational tools
Effectiveness of E-Booklets on Pregnant Women's Knowledge of Balanced Nutrition
Full text linkLow nutritional intake and knowledge among mothers during pregnancy are important factors that influence the occurrence of KEK and the risk of stunting. Efforts to increase knowledge are usually carried out through posyandu counseling or information media. This study aims to determine the effectiveness of e-booklets on pregnant women's knowledge of balanced nutrition. The research method included a pre-experimental pre-test and post-test (single-group pretest-posttest design) with 21 pregnant women selected via incidental sampling from a population of 31. The measurement tool used a questionnaire consisting of 35 questions, with a calculated r value of 0.369-0.784 and a Cronbach's Alpha of 0.91. The data were analyzed using the Wilcoxon test because they were not normally distributed. The test results showed a p-value of 0.001, indicating that the e-booklet was effective in improving pregnant women's knowledge of balanced nutrition. Future researchers should conduct further randomized controlled trials (RCTs) to test the effectiveness of e-booklets, using a control group and a larger sample size, or to evaluate their impact on nutritional behavior/practices
Hubungan Tingkat Stres dengan Kadar Glukosa Darah Sewaktu pada Karyawan di Balai K3 Jakarta
Full text linkStres kerja merupakan faktor psikologis yang dapat memengaruhi regulasi metabolisme glukosa melalui aktivasi sistem saraf simpatis dan aksis Hipotalamus-Pituitari-Adrenal (HPA), yang berpotensi meningkatkan kadar glukosa darah. Penelitian ini bertujuan menganalisis hubungan antara tingkat stres yang diukur dengan Heart Rate Variability (HRV) dan kadar glukosa darah sewaktu pada karyawan Balai Besar Keselamatan dan Kesehatan Kerja (Balai K3) Jakarta. Penelitian ini menggunakan desain cross-sectional dengan 37 responden yang dipilih secara total sampling. Pengukuran stres dilakukan menggunakan HRV Analyzer SA-3000P yang menghasilkan tiga parameter, yaitu stress index, fatigue index, dan stress resistance, sedangkan kadar glukosa darah sewaktu diukur menggunakan glukometer. Data dianalisis menggunakan uji Shapiro-Wilk untuk normalitas dan uji Kruskal-Wallis dengan tingkat signifikansi p < 0,05. Hasil menunjukkan bahwa sebagian besar responden memiliki kadar glukosa darah 91-199 mg/dL (83,7%) dan berusia 20-39 tahun (51,4%). Terdapat hubungan yang signifikan antara fatigue index dan kadar glukosa darah sewaktu (H = 10,613; p = 0,031), sedangkan stress index dan stress resistance tidak menunjukkan hubungan yang bermakna. Penelitian ini menyimpulkan bahwa tingkat kelelahan berdasarkan analisis HRV berhubungan dengan kadar glukosa darah sewaktu, sehingga pemantauan kelelahan kerja dapat berperan dalam deteksi dini risiko gangguan metabolik akibat stres kerja
Molecular Docking Study of Phenolic Compounds from the Ethanolic Extract of Olive Leaves (Olea europaea L.) as Potential Treatment for Preeclampsia
Full text linkPreeclampsia is a pregnancy-related disorder characterized by hypertension and proteinuria and is closely associated with oxidative stress, inflammation, endothelial dysfunction, and apoptosis. Olive leaves (Olea europaea L.) are rich in phenolic compounds with well-documented antioxidant and anti-inflammatory properties, making them a promising source of natural therapeutic agents. This study aimed to evaluate the potential of phenolic compounds from the ethanolic extract of olive leaves as candidates for treating preeclampsia using a molecular docking approach. The two-dimensional structures of selected phenolic compounds, including kaempferol, luteolin, and oleuropein, were obtained from the PubChem database and prepared as ligands. Target proteins associated with the pathophysiology of preeclampsia were prepared using AutoDock Tools by removing water molecules and separating native ligands. Molecular docking simulations were conducted to analyze binding affinities and interaction patterns between the phenolic compounds and the target proteins. The results demonstrated that all tested compounds exhibited favorable binding energies and formed stable interactions with key amino acid residues at the active sites of the target proteins. Among the compounds evaluated, oleuropein showed the strongest binding affinity, followed by luteolin and kaempferol. These findings suggest that phenolic compounds from the ethanolic extract of olive leaves have potential as therapeutic agents for preeclampsia, possibly through antioxidant and anti-inflammatory mechanisms. However, further in vitro and in vivo studies are required to validate these computational findings and confirm their biological efficacy